Provider Demographics
NPI:1225572605
Name:FIUME, MICHAEL J (PT)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:FIUME
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5320 W GENESEE ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CAMILLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13031-2268
Mailing Address - Country:US
Mailing Address - Phone:315-469-5400
Mailing Address - Fax:315-469-5724
Practice Address - Street 1:5320 W GENESEE ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CAMILLUS
Practice Address - State:NY
Practice Address - Zip Code:13031-2268
Practice Address - Country:US
Practice Address - Phone:315-469-5400
Practice Address - Fax:315-469-5724
Is Sole Proprietor?:No
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY040969225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist